I. Introduction
II. Acknowledging and Defining Impairment in Healthcare
III. Impact of Impairment in the Workplace
IV. Prevalence of Impairment in Healthcare
V. Causes of Impairment in Healthcare
1. Substance Use Disorder
2. Burnout, Compassion Fatigue and Mental Illness
3. Sleep Disorders
4. Physical Illness or Disability
5. Fatigue
VI. Disabilities and Accommodations
VII. Identifying the Signs of Impairment
1. Changes in a Coworkers Behaviors
2. Physical Signs and Symptoms of Impairment
3. Signs of Drug Diversion
4. Signs and Symptoms of a Substance Use Disorder
5. Compassion Fatigue
VIII. Barriers to Seeking Assistance
1. Denial and Defensiveness
2. Fear and Embarrassment
IX. Employer Initiatives for Workplace Safety
1. Education and Training
2. Early Intervention
3. Workplace Policies
4. Drug-Testing
5. Drug-Free Workplace
6. Employee Assistance Programs
7. Alternatives-to-discipline Programs
8. Compassion and the Impaired Worker
X. Reporting and Documenting Impairment
1. Reporting an Impaired Colleague
2. Documenting Impairment
3. Florida Mandatory Reporting Statute, Section 464.018
XI. Treatment Programs for Impaired Workers
XII. Case Study: Workplace Impairment in the Operating Room
Discussion
XIII. Summary